Patient Pain and Function Survey

Transcription

1 FORCE-TJR QI Data Elements Patient Contact Information/ Demographic data Education Level Employment status Race or Ethnicity Gender Marital status Age Body Mass Index Smoking status General health status During the past 4 weeks, how much of have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Patient Pain and Function Survey Self-Report--Takes -20 min to complete VR12 (12 items) Comorbidity Index (14 items) Back Pain (1 item) HOOS/ KOOS (68 items/ 71 items) 1. Accomplished less than you would like 2. Had difficulty performing work All of the time Most of Some of Activity limitations due to current health Does your health now limit you in these activities? Is so, how much? 1. Climbing several flights of stairs Limited a lot Limited a little A little of Co-Occurring Medical Conditions Indicate if you have been diagnosed with any of the following conditions: COPD, Connective Tissue Disease, Diabetes, Cancer, PVD, etc. Severity of Back Pain None of Not limited at all My back pain at the moment is: No back pain--very mild--moderate--fairly severe--very severe--worst imaginable Symptoms, stiffness, and pain associated with the surgical joint What amount of pain have you experienced in the last week in your surgical (hip/knee) during the following activity? 1. Sitting or lying down 2. Going up or down stairs None Mild Moderate Severe Extreme Physical function (Surgical Joint) For each of the following activities, please indicate the degree of difficulty you have experienced in the last week due to your surgical (hip/ knee): None Mild Moderate Severe Extreme 1.Getting in/out of car 2. Rising from sitting Surgical joint specific Please rate your symptoms and difficulties in your surgical (hip/ knee) during the last week when doing these activities: 1.Do you have swelling in your surgical knee 2.Difficulties to stride out when walking Never Rarely Sometimes Often Always

2 FORCE-TJR QI Data Elements OR Data Implant Data Data (14 Items) Surgical Data Data elements Manufacturer of Implant Model of Implant Catalogue Number of Implant Product Lot Number Data regarding surgical procedure ICD9 procedure code ICD9 primary diagnosis code Hip/Knee surgical approach data Discharge Summary Surgery/Post-Surgery treatment Patient reported Pain and Function post-operatively Chart Data Surveillance and Adverse Events Patient Reported Post-surgery events/complications, including: Death Deep Joint Infection Deep Vein Thrombosis Emergency Department Visit Dislocation Fracture Hardware Failure Hematoma Pulmonary Embolism Other Other Return to the OR for Total Readmission No 90 Day Post-operative Events

3 Geneva Arthroplasty Registry Variables Hip and knee Geographical Identifier Height Weight BMI Smoking Physical activity Active vs. sedentary (patient-reported), type of sports or leisure activity (only hip) UCLA activity scale Since 2006 postop; since 2011 preop and pre-oa Insurance status Public vs. private Education Since three levels Work Status Cardiac History Angina, MI, Congenital or other, pacemaker Liver Diabetes Circulation ASA score Hypertension Cerebrovascular accident Rheumatic Fever Respiratory Other: Skin conditions, epilepsy, blood disorders etc. Alcohol abuse Gastrointestinal Renal Anxiety / Depression SF-12 mental component score Surgery Previous surgeries of hip, knee and back Rheumatoid Arthritic GAR Variables Page 1 of 4 20 march 20

4 Treatments -articular steroids Current medication Medication Statin use (only hip), antalgesics Steroid injection Prophylactic antibiotics Type, dose Osteoarthritis Septic Arthritis Gout Inflammatory conditions Avascular Necrosis Paget s Congenital Trauma Other medical /surgical hist. Cancer, metastasis, osteoporosis Duration of symptoms In, patient-reported Implant details Surgical technique Surgeon experience Surgery time Anticoagulation therapy Type, dose Length of Discharge Home, assisted living, other Surgical complications -operative fracture, nerve lesion, bleeding Post operative complications Haemorrhage, DVT, PE, Chest Infection, MI, CVA, dislocation, deep infection, wound problems, urinary infection, death, periprosthetic fracture, abductor avulsion, readmission, other GAR Variables Page 2 of 4 20 march 20

5 Knee Specific TKR n= UKR n= Rev TKR n= Re-Rev Operation type TKR Side of operation Limb examination pain on internal rotation, pain on external rotation, quad muscle power, tender joint lines Knee valgus/varus,knee pain, AKSS Pain VAS scale Neuropathic pain (DN4) Preop since January 2014, postop sample (n=750) Pain quality Night pain, irradiation, pattern over time Satisfaction Operation, 5-point Likert scale Would you re-undergo the surgery? WOMAC 12 (short form) SF-12 UCLA activity scale Hip Specific THR n= Resurfacing= Rev THR n= Re-Rev Operation type THR Side of operation hip pain, hip flexion, hip flexion internal rotation, hip abduction, hip fixed flexion deformity, hip flex abd er, internal rotation, external rotation, hip ext, Limb examination trochanteric bursitis, trendelenberg sign, abductor muscles strength, leg length difference Walking distance Charnley disability grade Harris Hip score Merle d Aubigné score Pain VAS Pain quality Night pain, irradiation, pattern over time WOMAC 12 GAR Variables Page 3 of 4 20 march 20

6 SF-12 UCLA activity scale Neuropathic pain (DN4) Satisfaction VAS Operation Medical Illustration Symptomatic patients only at follow-up, all pre and knee x-rays postop hip x-rays All patients invited for clinical and X-ray follow-up MRI hip MoM hips (symptomatic patients or high ion levels) Kellgren-Lawrence grades Hips and knees 2003 (under way) and 20 Osteolysis, migration, fracture, bone quality, cementing quality, other Hips analysed only so far Blood Cobalt, Chrome, CRP, sedimentation rate, Creatinine MoM hips at follow-up Adipokines, cytokines (details see publications below*) Cohort primary OA hip and knee 20 *Bas S, Finckh A, Puskas GJ, Suva D, Hoffmeyer P, Gabay C, Lübbeke A. Adipokines correlate with pain in lower-limb OA: different association in hip and knee. Int Orthop 2014 *Lübbeke A, Finckh A, Puskas G, Suva D, Lädermann A, Bas S, Fritschy D, Gabay C, Hoffmeyer P. Do synovial leptin levels correlate with pain in end-stage arthritis? Int Orthop 2013 GAR Variables Page 4 of 4 20 march 20